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Clinical Problem Solving: Radiology
May 2003

Radiology Quiz Case 2

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2003;129(5):595. doi:10.1001/archotol.129.5.595

A 22-YEAR-OLD WOMAN presented to the emergency department with acute pain in the lateral aspect of the left side of her neck, dysphagia, slight dyspnea, and dysphonia of 2 hours' duration. She stated that a left cervical mass had suddenly developed and had enlarged. Indirect laryngoscopy revealed that the mass, which was hard, painful, and tender on palpation, was causing compression and displacement of the left hemilarynx. She also said that her mother had died of a spontaneous rupture of the splenic artery at the age of 31 years.